Organization
AN ELEGANT SMILE P.C.
Active
Other names
An Elegant Smile Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA VITELA (CREDENTIALING COORDINATOR)
(602) 482-7000
Entity
Organization
Contact information
Practice address
5977 E GRANT RD, STE 115, TUCSON, AZ 85712-2341
(520) 733-0040
(520) 546-0374
Mailing address
5977 E GRANT RD, STE 115, TUCSON, AZ 85712-2341
(520) 733-0040
(520) 546-0374
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7622
AZ
Other
Enumeration date
05/25/2010
Last updated
05/25/2010
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